A comparative study to evaluate factors that influence survival in multidisciplinary predialysis educated patients and "Crashlanders".

A comparative study to evaluate factors that influence survival in multidisciplinary predialysis educated patients and "Crashlanders". Saudi J Kidney Dis Transpl. 2017 Jul-Aug;28(4):743-750 Authors: Zukmin K, Ahmad I, Wynn AK, Lim YY, Naing L, Chong VH, Khalil MAM, Tan J Abstract Integrated multidisciplinary predialysis education (MPE) is usually provided to support and prepare the pre-end-stage renal disease (ESRD) patients before the initiation of renal replacement therapy (RRT). However, the impact of MPE is not known in our population, which is comprised patients of Asian origins and recipients of a totally subsidized health-care system. This research compared the survival probability, sociodemographic, and clinical characteristics of MPE patients and non-MPE patients (or crashlanders). A retrospective cohort study was conducted to investigate ESRD patients who started RRT in Brunei Darussalam from January 2013 to December 2014. Data were extracted from the computerized clinical database and dialysis records. A total of 351 new cases of ESRD patients who started on hemodialysis during the study period were included in the study. The median age was 56.0 years, with a slight male preponderance (56.6%). The MPE group was significantly older (P = 0.001) and more likely to have a history of diabetes mellitus (P = 0.013), ischemic heart disease (P = 0.014), and hypertension (P = 0.016). Despite being older and having more comorbidities...
Source: Saudi Journal of Kidney Diseases and Transplantation - Category: Urology & Nephrology Authors: Tags: Saudi J Kidney Dis Transpl Source Type: research